Individual
CASEY D SOMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1931
WI
133V00000X
Registered Dietitian
2482
MN
Other
Enumeration date
02/02/2006
Last updated
10/07/2015
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